Vailati Asia, Marcomini Ilaria, Di Niquilo Martina, Poliani Andrea, Rosa Debora, Villa Giulia, Manara Duilio Fiorenzo
Center for Nursing Research and Innovation, Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, Italy.
Department of Obstetrics and Gynaecology, IRCCS Ospedale San Raffaele, 20132 Milan, Italy.
Nurs Rep. 2025 Sep 5;15(9):324. doi: 10.3390/nursrep15090324.
The Nursing Work Environment (NWE) plays a critical role in determining the quality of care, staff well-being, and organizational performance, particularly in oncology settings. Despite increasing attention, a comprehensive synthesis of organizational factors shaping oncology NWEs has been lacking. This scoping review aimed to describe the key features of oncology NWEs and to explore the outcomes associated with these characteristics. : A scoping review was conducted following the Joanna Briggs Institute guidelines. Peer-reviewed studies published in English or Italian were included without time restrictions. Literature searches were performed in MEDLINE via PubMed, CINAHL, and Scopus between January and April 2025. : Twenty studies met the inclusion criteria. Key organizational characteristics of oncology NWEs were grouped into the following four domains: leadership and organizational support; workload and resource availability; ethical climate and collegial relationships; and physical and structural conditions of care settings. Across the studies, a positive NWE was frequently reported to be associated with improved nurse-related outcomes and, to a lesser extent, with patient-related outcomes. However, these associations should be interpreted with caution due to the heterogeneity of contexts and the predominance of cross-sectional designs. : The NWE is a strategic element in delivering effective, safe, and sustainable oncology care. Practical actions for nurse managers and healthcare leaders include implementing leadership training programs, ensuring adequate staffing and resource allocation, fostering open communication, and promoting interdisciplinary collaboration. These measures are essential to protect staff well-being and guarantee high-quality, patient-centered care.
护理工作环境（NWE）在决定护理质量、员工福祉和组织绩效方面起着关键作用，在肿瘤护理环境中尤为如此。尽管受到越来越多的关注，但一直缺乏对塑造肿瘤护理工作环境的组织因素进行全面综合的研究。本综述旨在描述肿瘤护理工作环境的关键特征，并探讨与这些特征相关的结果。：按照乔安娜·布里格斯研究所的指南进行了一项综述。纳入了以英文或意大利文发表的、无时间限制的同行评审研究。2025年1月至4月期间，通过PubMed、CINAHL和Scopus在MEDLINE中进行了文献检索。：20项研究符合纳入标准。肿瘤护理工作环境的关键组织特征分为以下四个领域：领导与组织支持；工作量与资源可用性；道德氛围与同事关系；护理环境的物理和结构条件。在各项研究中，经常报告积极的护理工作环境与改善护士相关的结果相关，在较小程度上与患者相关的结果相关。然而，由于背景的异质性和横断面设计的主导性，这些关联应谨慎解释。：护理工作环境是提供有效、安全和可持续肿瘤护理的战略要素。护士管理者和医疗保健领导者的实际行动包括实施领导力培训计划、确保充足的人员配备和资源分配、促进开放沟通以及推动跨学科协作。这些措施对于保护员工福祉和保证高质量、以患者为中心的护理至关重要。
